Provider Demographics
NPI:1205482437
Name:GREENBERG, CHERYL (LISW)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:GREENBERG
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 AKRON GENERAL AVENUE, BUILDING 301, 2ND FLOOR
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44307-2432
Mailing Address - Country:US
Mailing Address - Phone:330-344-5165
Mailing Address - Fax:330-344-6042
Practice Address - Street 1:1 AKRON GENERAL AVENUE, BUILDING 301, 2ND FLOOR
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44307
Practice Address - Country:US
Practice Address - Phone:330-344-5165
Practice Address - Fax:330-344-6042
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-13
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH172084101YA0400X
OHI.25067101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)